Koehn, Gary L

Koehn, Gary L is an sole proprietor health care provider with primary practice located at 5201 Willow Springs Rd Suite 110, La Grange Highlands IL 60525-6537. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Koehn, Gary L can be contacted via phone (708) 482-4500.

Contact Information

Primary practice address
5201 Willow Springs Rd Suite 110 La Grange Highlands IL 60525-6537
Fax: (708) 482-4502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25969 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036074138 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036074138 Illinois

Profile Details

NPI number 1992758965
LBN Legal business name Koehn, Gary L
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Nov 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992758965 NPPES
Illinois Other 030038 HEALTH ALLIANCE ID
Illinois Other 01608719 HEALTH ALLIANCE ID
Illinois Other 132321800 HEALTH ALLIANCE ID
Illinois Other 1164451308 HEALTH ALLIANCE ID

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